Background: Proximal Femoral fractures are common in elderly. Their incidence had increased due to the increased life expectancy and osteoporosis. Objective: The aim of this study was to evaluate the use oflocked dynamic hip screw plate (LDHS) as a treatment of intertrochanteric femoral fracture in elderly patients. Patients and Methods: This study was a non-randomized clinical trial including eighteen patients with intertrochanteric femoral fracture fixed with locked dynamic hip screw plate. They came to Orthopedic Department in Zagazig University Hospital and Orthopedic Department in Tripoli Central Hospital over 3 months from July 2020 until September 2020. Patients with sub-trochanteric extension were excluded. There was 10 cases group A1 and eight cases group A2 according to AO Orthopedic Trauma Association (OTA). Results: Clinical and radiological outcome assessments showed that 77.8% were excellent clinically, 11.1% were good and 11.1% were fair. Regard radiological assessment, 83.3% were excellent, 11.1% were good and 5.6% were fair. As regards complications, 4 cases had groin pain and 1 case had lag screw cut-out and overall complications were in 22.2%. Conclusion: Locking DHS plate for trochanteric femur fractures is a good option in elderly patients.